Individual provider Active NPI

Polly A Hediger, DC

  • Chiropractor
  • Fort Mohave, AZ
National Provider Identifier
1801847371
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7406 Issued in AZ
Practice address
5810 S Highway 95
Ste. 2
Fort Mohave, AZ 86426-6076
Phone
(928) 768-1122
NPI assigned
May 12, 2006
Last updated
Nov 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7406 AZ Primary

Addresses

Primary practice location

5810 S Highway 95
Ste. 2
Fort Mohave, AZ 86426-6076

Mailing address

5810 S Highway 95
Ste. 2
Fort Mohave, AZ 86426-6076
Phone (928) 768-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000253 AZ Practitioner - Chiropractic 1759276868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5810 S Hwy 95 2
Fort Mohave, AZ 86426-6076
Phone (928) 768-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7406AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Polly's Chiropractic, P.C. Chiropractor CurrentSince Jul 24, 2007 Accepting new patients
Philip C Barnard DC PLLC Chiropractor PastSince Jul 10, 2004 Accepting new patients
Travis Enterprises LLC Chiropractor PastSince May 1, 2024 Accepting new patients

Locations

5810 S Highway 95
Ste 2
Fort Mohave, AZ 86426
Phone (928) 768-1122

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1801847371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 S HIGHWAY 95",
            "address_2": "STE. 2",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266076",
            "telephone_number": "928-768-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 S HIGHWAY 95",
            "address_2": "STE. 2",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266076",
            "telephone_number": "928-768-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDIGER",
        "first_name": "POLLY",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.